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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505568
Report Date: 04/09/2021
Date Signed: 04/09/2021 11:52:01 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FAMILY DEVELOPMENTAL CENTER (PRESCHOOL)FACILITY NUMBER:
380505568
ADMINISTRATOR:QUIROZ, YOHANAFACILITY TYPE:
850
ADDRESS:2730 BRYANT STREETTELEPHONE:
(415) 282-1090
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:83CENSUS: 58DATE:
04/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director, Melissa SerranoTIME COMPLETED:
11:50 AM
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On April 9th, 2021 at 11:30 am, Licensing Program Analyst (LPA), Kassandra Medrano conducted a virtual inspection with Director, Melissa Serrano. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. Present today are 30 preschool children and 18 school age. Due to COVID-19 state of emergency a School Age waiver was granted on March 2,2021 for the facility to care for 28 school age children ages 4.9-14 years old at the above address due to COVID-19. Facility has added a room to create more space for these children. Updated fire clearance on file. The facility will utilize the following classrooms for school age care: sunshine community room, education foundation room, outside school yard for outdoor pay. Check-in will take place in the front of the school. Parents are not allowed on campus. If children become ill during the day, they will rest in the isolation area located in Nurses office as well a cubicle available. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. Bathrooms are located adjacent to classrooms and are escorted to restrooms by staff. There are three restrooms available and ratio of toilet to sink is 2/2 .There is a designated outdoor play area with age appropriate equipment and activities. Drinking water readily available through the use of water bottle filling stations and children bring their own water bottles. The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies, A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives. To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the San Bruno Child Care Office at (650) 266-8800.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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